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宫颈癌病理学与阴道及肠道微生物群:关联概念

Cervical cancer pathology and vaginal and gut microbiota: conception of the association.

作者信息

Mazinani Samaneh, Aghazadeh Mohammad, Poortahmasebi Vahdat, Arafi Vahid, Hasani Alka

机构信息

Research Center of Infectious and Tropical Diseases, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, 51666/15731, Iran.

Department of Bacteriology and Virology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, 51666/15731, Iran.

出版信息

Lett Appl Microbiol. 2025 Jul 2;78(7). doi: 10.1093/lambio/ovaf088.

Abstract

The role of gut and vaginal microbiota has been examined as potential markers in the progression of cervical cancer and inspired heightened attention. We attempted to identify the current status, the influence of changing trends in the gut and vaginal microbiota, and their impact on cervical cancer. All publications were searched in online databases such as PubMed, Scopus, Medline, and Google Scholar using the keywords "cervical cancer," "vaginal microbiota," "gut microbiota," "dysbiosis," "cervical intraepithelial neoplasia," and "HPV." Growing evidence that gut microbiota dysbiosis is involved in many diseases has attracted many researchers. The vaginal microbiome is a micro-ecosystem complex that undergoes continuous fluctuations throughout a woman's life. Decrease in Lactobacilli spp. Levels can lead to an overgrowth of anaerobic bacteria, resulting in bacterial vaginosis that accounts for adverse health outcomes, including increased susceptibility to sexually transmitted infections, including human papillomavirus, and cervical intraepithelial neoplasia, leading to cervical cancer. Thus, dysbiosis, characterized by an imbalance of beneficial and harmful bacteria, can negatively affect health. Understanding the intricate interactions between the microbiota and cervical cancer can provide valuable insights into potential therapeutic strategies and the development of preventive measures.

摘要

肠道和阴道微生物群的作用已被作为宫颈癌进展的潜在标志物进行研究,并引起了越来越多的关注。我们试图确定肠道和阴道微生物群的现状、变化趋势的影响及其对宫颈癌的影响。使用关键词“宫颈癌”“阴道微生物群”“肠道微生物群”“生态失调”“宫颈上皮内瘤变”和“人乳头瘤病毒”在PubMed、Scopus、Medline和谷歌学术等在线数据库中检索所有出版物。越来越多的证据表明肠道微生物群失调与许多疾病有关,这吸引了许多研究人员。阴道微生物群是一个复杂的微生态系统,在女性一生中会不断波动。乳酸杆菌属水平的降低会导致厌氧菌过度生长,从而导致细菌性阴道病,这会导致不良健康后果,包括对性传播感染(包括人乳头瘤病毒)和宫颈上皮内瘤变的易感性增加,进而导致宫颈癌。因此,以有益菌和有害菌失衡为特征的生态失调会对健康产生负面影响。了解微生物群与宫颈癌之间复杂的相互作用可为潜在治疗策略和预防措施的制定提供有价值的见解。

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